EUGENE MOON KIM (NPI# 1194011650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194011650 |
| Entity Type | Individual |
| Full Name | EUGENE MOON KIM |
| Credential | PHARMD |
| Practice Address |
10 Hemingway Ave East Haven CT 06512 |
| Practice Telephone | 2034694609 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT.0011460 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477825438 | Eugene Y Kim | Radiology | 1613 Hill St, White Oak, PA 15131-2119 | 2012-02-06 |
| 1912225673 | Eugene Kim | Pain Medicine | 4650 Sunset Blvd, Ms #3, Children's Hospial Los Angeles, Dept of Anesthesia, Los Angeles, CA 90027 | 2010-05-05 |
| 1609051838 | Eugene Duejin Kim | Dentist | 5861 Beach Blvd, Buena Park, CA 90621-2021 | 2008-01-07 |
| 1346277969 | Eugene H Kim | Internal Medicine | 9378 Forestwood Ln, Suite E, Manassas, VA 20110-4741 | 2006-06-27 |
| 1831157049 | Eugene Young Kim | Podiatrist | 3117 Ditmars Blvd, Astoria, NY 11105-2300 | 2006-05-04 |
| 1255390522 | Eugene I. Kim | Dentist | 9201 N 29th Ave, Suite 33, Phoenix, AZ 85051-3468 | 2006-03-23 |
| 1679186324 | Eugene Kim | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2020-08-24 |
| 1114585239 | Eugene Heejin Kim | Student in an Organized Health Care Education/Training Program | 1251 S Cedar Crest Blvd Ste 202a, Allentown, PA 18103-6214 | 2019-06-04 |
| 1710541982 | Eugene Kim | Orthopaedic Surgery | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2019-04-23 |
| 1588151641 | Eugene Kim | Student in an Organized Health Care Education/Training Program | 800 Washington St, Boston, MA 02111-1552 | 2018-04-15 |
| Street Address |
10 HEMINGWAY AVE |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740579952 | Shannielle Antonelli | Pharmacist | 10 Hemingway Ave, East Haven, CT 06512-3404 | 2011-03-29 |
| 1003440751 | Jason Alex Sefsik | Pharmacist | 10 Hemingway Ave, East Haven, CT 06512-3404 | 2020-03-02 |
| 1609384452 | Sarah Uzzaman | Pharmacist | 10 Hemingway Ave, East Haven, CT 06512-3404 | 2018-01-15 |
| 1841735271 | Emily Rozes | Pharmacist | 10 Hemingway Ave, East Haven, CT 06512-3404 | 2016-12-20 |
| 1770959330 | Paulina Trzcinka | Pharmacist | 10 Hemingway Ave, East Haven, CT 06512-3404 | 2015-08-18 |
| 1235429424 | Jihad Elkareh | Pharmacist | 10 Hemingway Ave, East Haven, CT 06512-3404 | 2011-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760040489 | Caroline Grace Wajdowicz | Specialist/Technologist | 114 Eddon Drive, East Haven, CT 06512 | 2019-05-29 |
| 1194074070 | Albert Marshall D'onofrio | Dentist | 300 Hemingway Ave., East Haven, CT 06512 | 2012-09-06 |
| 1073654158 | Tom A Davies I | Pharmacist | 392 Hemingway Ave., East Haven, CT 06512 | 2007-02-09 |
| 1346326840 | Susanne E Davis | Counselor | 595 Thompson Avenue, East Haven Counseling & Community Services, East Haven, CT 06512 | 2006-10-27 |
| 1124111828 | Ronald R. Montano | Dentist | 310 Main Street, East Haven, CT 06512 | 2006-10-02 |
| 1518985183 | Town of East Haven East Haven Counseling and Community Services | Clinic/Center | 595 Thompson Ave, East Haven Counseling & Community Services, East Haven, CT 06512 | 2006-07-18 |
| 1386629020 | Michael J. Vandlik, Dmd&associates LLC | Dentist | 280 Main Street, East Haven, CT 06512 | 2005-12-14 |
| 1174507230 | Tarvinder Pal Singh Arora | Dentist | 300 Hemingway Ave, Ste #3, East Haven, CT 06512 | 2005-12-02 |
| 1457342651 | Whispering Pines Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 38 Talmadge Avenue, East Haven, CT 06512 | 2005-11-04 |
| 1407477417 | T & S Home Care Agency LLC | Home Health | 5 Chamberlain Pl, New Haven, CT 06512 | 2020-04-30 |
| Find all providers in zip 06512 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912784 | Michael Joseph Vessicchio | Pharmacist | 645 Foxon Rd, East Haven, CT 06513-1951 | 2020-08-14 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1336662592 | Matthew Lawrence Merola | Pharmacist | 29 Grove St, East Haven, CT 06512-3219 | 2017-07-19 |
| 1851668537 | Vincent Evangelista | Pharmacist | 2 Mansfield Grove Rd Apt 268, East Haven, CT 06512-4807 | 2011-11-22 |
| 1740579952 | Shannielle Antonelli | Pharmacist | 10 Hemingway Ave, East Haven, CT 06512-3404 | 2011-03-29 |
| 1538471586 | Derrek Krasnicki | Pharmacist | 31 Palmetto Trl, East Haven, CT 06512-4631 | 2010-07-07 |
| 1073654158 | Tom A Davies I | Pharmacist | 392 Hemingway Ave., East Haven, CT 06512 | 2007-02-09 |
| 1700411089 | Rebecca Lynn Mccarthy | Pharmacist | 745 Foxon Rd, East Haven, CT 06513-1873 | 2020-03-07 |
| 1003440751 | Jason Alex Sefsik | Pharmacist | 10 Hemingway Ave, East Haven, CT 06512-3404 | 2020-03-02 |
| 1689156036 | Alexandra Claire Mooney | Pharmacist | 745 Foxon Rd, East Haven, CT 06513 | 2018-09-02 |
| Find all providers in EAST HAVEN | ||||
| City | EAST HAVEN |
| Zip Code | 06512 |
Please comment or provide details below to improve the information on EUGENE MOON KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.